231 Assessing the Impact of Contrast-Enhanced Magnetic Resonance Imaging on Clinicians’ Decision-Making in Juvenile Idiopathic Arthritis of The Hip

Le résumé fourni par la source

Background: Contrast-enhanced MRI (CE-MRI) is considered the gold standard imaging modality for suspected hip arthritis in children. A recent study at our institution identified discrepancies in radiological interpretation of CE-MRI hip scans and we report this separately. Acknowledging potential variability of reporting, we conducted the present study to explore the impact of CE-MRI on clinical decision-making. Methods: We conducted a retrospective case-note review of patients who underwent hip CE-MRI at our Institution between January 2011 and September 2014 to confirm or exclude the presence of hip inflammation. The impact of CE-MRI findings on clinical management was assessed using clinic data and contemporaneous radiological reports. Clinical data included inflammatory markers, reported symptoms and medication changes before and within 3 months following CE-MRI. Clinician suspicion of inflammation or lack of it was determined if explicitly recorded by the clinician at the visit when the CE-MRI was requested. Decision-making was based on changes made to the patient’s treatment following CE-MRI.

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